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'It would be nice if they could give us more language' - Serving South Africa's multilingual patient base

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  • Deumert, Ana

Abstract

This paper considers the role of multilingualism in health care by drawing on the results of an empirical study conducted in three public hospitals in the Western Cape, South Africa. Data were collected through questionnaires, staff and patient interviews as well as ethnographic observation. The focus is on the large number of isiXhosa-speaking patients who have entered the provincial system since the early 1990s. The analysis shows that linguistic barriers between English/Afrikaans-speaking providers and isiXhosa-speaking patients are a deeply entrenched structural feature of the public health system, and significantly impede the provision of equitable and effective health care fifteen years after the end of apartheid.

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  • Deumert, Ana, 2010. "'It would be nice if they could give us more language' - Serving South Africa's multilingual patient base," Social Science & Medicine, Elsevier, vol. 71(1), pages 53-61, July.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:1:p:53-61
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    References listed on IDEAS

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    1. Hsieh, Elaine, 2007. "Interpreters as co-diagnosticians: Overlapping roles and services between providers and interpreters," Social Science & Medicine, Elsevier, vol. 64(4), pages 924-937, February.
    2. Drennan, Gerard & Swartz, Leslie, 2002. "The paradoxical use of interpreting in psychiatry," Social Science & Medicine, Elsevier, vol. 54(12), pages 1853-1866, June.
    3. Kon, Z.R. & Lackan, N., 2008. "Ethnic disparities in access to care in post-apartheid South Africa," American Journal of Public Health, American Public Health Association, vol. 98(12), pages 2272-2277.
    4. Ana Deumert & Nkululeko Mabandla, 2009. "I-Dollar EYI One! -Ethnolinguistic Fractionalisation, Communication Networks and Economic Participation-Lessons from Cape Town, South Africa," Journal of Development Studies, Taylor & Francis Journals, vol. 45(3), pages 412-440.
    5. Bischoff, Alexander & Bovier, Patrick A. & Isah, Rrustemi & Francoise, Gariazzo & Ariel, Eytan & Louis, Loutan, 2003. "Language barriers between nurses and asylum seekers: their impact on symptom reporting and referral," Social Science & Medicine, Elsevier, vol. 57(3), pages 503-512, August.
    6. Elderkin-Thompson, Virginia & Cohen Silver, Roxane & Waitzkin, Howard, 2001. "When nurses double as interpreters: a study of Spanish-speaking patients in a US primary care setting," Social Science & Medicine, Elsevier, vol. 52(9), pages 1343-1358, May.
    7. Sanders, D. & Chopra, M., 2006. "Key challenges to achieving health for all in an inequitable society: The case of South Africa," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 73-78.
    8. Gibson, Diana, 2004. "The gaps in the gaze in South African hospitals," Social Science & Medicine, Elsevier, vol. 59(10), pages 2013-2024, November.
    9. Meeuwesen, Ludwien & Harmsen, Johannes A.M. & Bernsen, Roos M.D. & Bruijnzeels, Marc A., 2006. "Do Dutch doctors communicate differently with immigrant patients than with Dutch patients?," Social Science & Medicine, Elsevier, vol. 63(9), pages 2407-2417, November.
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